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Review Question - QID 864

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QID 864 (Type "864" in App Search)
A 72-year-old male presents with increasing thigh pain. Radiographs and high power biopsy are shown in Figures A and B. Staging studies demonstrate no further sites of disease. What is the next step in treatment?
  • A
  • B

Neoadjuvant chemotherapy

8%

229/2818

Neoadjuvant radiation therapy

7%

192/2818

Marginal excision

2%

68/2818

Wide surgical excision and reconstruction

81%

2269/2818

Palliative care

1%

40/2818

  • A
  • B

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The history, radiograph, and biopsy are consistent with a high grade chondrosarcoma of the proximal thigh.

As described in the review by Marco et al, cartilage tumors are resistant to chemotherapy and radiotherapy and as such the best treatment is wide surgical excision and reconstruction.

Lee et al review one institutions experience with a chondrosarcoma specifically examining the predictors of outcome. They found that adjuvant therapy did not affect overall outcome.

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